Karen Crawley-Buckholtz
Calm, practical support for life’s pressures
- Credentials
- MD, LCPC, LPC
- Experience
- 20 years
- Licensed in
- Maryland, Virginia
- Languages
- English
- Format
- Online sessions
About Karen
Karen Crawley-Buckholtz is a licensed clinician practicing in Maryland. She holds an MD and is licensed as a Licensed Clinical Professional Counselor, LCPC, and Licensed Professional Counselor, LPC. She has two decades of professional experience and focuses on practical help for common life struggles like stress, anxiety, grief, relationship and intimacy concerns, parenting issues, and mood conditions.
Her approach blends well-known methods to match each person’s needs. She uses client-centered methods to build on strengths and foster a trusting conversation.
Background and approach
Cognitive behavioral techniques help break unhelpful patterns of thinking and behavior. She also draws from dialectical behavior therapy and mindfulness practices to teach emotion regulation and present-moment skills. Karen brings extensive work with grief, loss, and bereavement, and she has training in perinatal and postpartum depression.
She has clinical experience related to illness, disability, hospice care, caregiving stress, and cancer support. Practical coping skills are a common focus in sessions. She also addresses career stress, self-esteem, eating and sleeping concerns, ADHD, bipolar issues, and compassion fatigue.
Her style is adaptable rather than one-size-fits-all. Clients are invited to help set goals and choose approaches that feel right for them. Sessions are offered in English and delivered in a mix of formats including video calls, phone, live chat, and text messaging.
Costs vary with location and a subscription model is used that can be canceled at any time. To begin, a short matching questionnaire is completed and scheduling follows based on availability.
Approaches that translate well to online care
Client-centered therapy focuses on listening and building on a person’s strengths through empathic dialogue; it helps when someone needs support making sense of difficult feelings and choosing goals. Cognitive behavioral therapy, or CBT, looks at how thoughts and actions keep problems going and teaches practical skills to change them; it is useful for anxiety, depression, and stress-related patterns.Finding the right approach is a collaborative process. The therapist works together with each person to try methods that fit their needs, goals, and comfort level. Sessions can shift over time, combining techniques like skills training and reflective conversation until a useful mix is found.
Online formats offer practical flexibility for busy schedules and differing life demands. Video calls allow face-to-face conversation, phone sessions remove the need for travel, and live chat or text messaging can be useful for shorter check-ins or when writing feels easier. These options make it simpler to access ongoing care, practice new skills between meetings, and maintain momentum during life transitions.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- ADHD
- Aging and geriatric issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Eating and food-related issues
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Maryland, Virginia
- Languages
- English
Next step
Talk to Karen
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point